Most Relevant Information
Provider Data
| NPI Number: | 1003596420 |
| Provider Name: | EMILY KANE CARROLL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/20/2023 |
| Last Updated: | 07/20/2023 |
Provider Practice Location
3319 LA MESA DR APT 3
SAN CARLOS
CA
940704221
Practice Location Phone/Fax
| Phone: | 8183982343 |
| Fax: |
Provider Mailing Location
3319 LA MESA DR APT 3
SAN CARLOS
CA
940704221
Provider Mailing Phone/Fax
| Phone: | 8183982343 |
| Fax: |